Active NPI
Gary L Mendelson, AU.D. AND PSY.D.
- Audiologist-Hearing Aid Fitter
- Potomac, MD
National Provider Identifier
1831172428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 00070
- Practice address
- 11604 Bunnell CT S
Potomac, MD 20854-3603 - Phone
- (301) 299-6714
- Fax
- (301) 983-9396
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 00070 | MD | Primary |
Addresses
Primary practice location
11604 Bunnell CT S
Potomac, MD 20854-3603
Mailing address
11604 Bunnell CT S
Potomac, MD 20854-3603
Phone (301) 299-6714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11604 Bunnell S CT
Potomac, MD 20854-3603
Phone (301) 299-6714
65 Duke St
Suite 103
Prince Frederick, MD 20678-6128
Phone (301) 299-6714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831172428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11604 BUNNELL CT S",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543603",
"telephone_number": "301-299-6714",
"fax_number": "301-983-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11604 BUNNELL CT S",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208543603",
"telephone_number": "301-299-6714",
"fax_number": "301-983-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "GARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AU.D. AND PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MD",
"license": "00070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.